Gained back 20-25 pounds while still on the max dose

Hong Kong Yanpep International
Tone_998

Tone_998

Active member
43 male here, and this is my honest story. In 2022 I started at 250 lbs on Ozempic 2.4 and had lost only about 5 lbs by December. In 2023 I moved to Mounjaro, a month at 7.5 mg, then 12.5, then 15, and I ended the year around 230. In 2024 the loss slowed and stalled near 220, and by year end I was creeping back up. In 2025 I kept gaining on 15 mg and finished about 20 lbs heavier. This year I switched to Wegovy 17.5 since it was newly approved in the UK. It helped for a few weeks, then stalled, hovering around 245.

I train with a coach two sessions weekly and I did a DEXA scan too. Bone and muscle density came out high, but body fat is very high, 92nd percentile. Seeing others lose a ton while I don't is discouraging, especially since my health is otherwise fine. This week I got reta and I will start at 4 mg this weekend, hoping for better luck. Has anyone else gained on the maximum dose, and what turned it around for you?
 
I sat on a long plateau at 15mg. Tried a mix: eating more for a spell, then getting strict with calories, weighing food and double-checking my assumptions. That restarted the loss and I dropped another 6kg, reaching a healthy BMI. Now the loss is very slow but heading the right way, and I'd love 3-5kg more. One thing that didn't work was a month at 5mg. I ate no more (I tracked it) yet was constantly starving, and gained 4kg over those four weeks. It showed me how much MJ affects my metabolism, and that I'll probably need it long term for a lasting metabolic condition. Even if you aren't losing, you're probably not wasting money, since MJ stops regain.
 
Two years on Oz for type 2 and I lost 25 lbs. Switched to Mounjaro 5 months ago hoping for the anti-inflammatory effect, went slowly up to 7.5mg. Ended up 15 lbs heavier and hungry constantly, so today I'm back on Oz at .25. Fingers crossed it works again.
 
A 92nd percentile body fat with high muscle density on the DEXA is useful information. It means the scale isn't telling the whole story and that intake, not training, is the lever. I'd weigh and log everything for three weeks before blaming the drug, then compare it with what the numbers say.
 
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